secondary conditions to diabetes
so diabetes falls under the endocrine system, which is a network of glands that create hormones to help regulate the body, these hormones could control the growth of new cells and metabolism and some organs like the kidney also help in producing hormones.
so the endocrine system is made up of from of our hypothalamus, thymus, pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pineal glands, reproductive glands and pancreas.
and all these parts works together to keep the body in balance.
What is diabetes
diabetes is a metabolic disease that causes high blood sugar, and it can causes wide range of medical issues and veterans who are service connected for diabetes can develop a secondary condition, and when you develop that secondary condition you’re qualified for disability benefits,
secondary conditions caused by diabetes
so let’s let’s go to the topic yeah so there’s definitely a lot of secondary issues that come with diabetes.
in diabetes medications diabetes type 2 is a chronic condition that affects the way an individual’s body metabolize, glucose or sugar with type 2 diabetes a person’s body either resists the effects of insulin, a hormone that regulates the movement of sugar into your cells or does not produce enough insulin to maintain normal glucose level.
signs and symptoms of type 2 diabetes
It often develop gradually over time however the most common symptoms include the following:
- increased thirst frequent.
- urination increased.
- hunger unintended.
- weight loss fatigue.
- blurred vision.
- slow healing sores.
- frequent infections.
- areas of darkened skin usually in the armpits and neck.
again type 2 diabetes occurs when the body becomes resistant to insulin or when the pancreas is unable to produce enough insulin, however the exact cause for type 2 diabetes remains unknow, current research suggests that genetics and environmental factors are both contributing factor, type 2 diabetes as well as subsequent updates that there is a limited suggestive evidence of an association between exposure to herbicides.
type 2 diabetes vary among veterans based on the progression or severity of their condition and below are the criteria, the via set in place to rate veterans with type 2 diabetes 100 which is very rare and you certainly do not want it is requiring more than one daily injection of insulin, restricted diet and regulation of activities avoidance of strenuous occupational and recreational activities with episodes of keto acidosis or hypoglyc glycemic.
reactions requiring at least three hospitalizations per year or weekly visits to a diabetic care center, plus either progressive loss of weight and strength or complications that would be compensationable if separately evaluated so you don’t want to be 160% requiring one or more daily injections of insulin, restricted diet and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensationable if separately evaluated 40% requiring one or more daily injections of insulin, restricted diet and regulation of activities 20% requiring one or more daily injections of insulin, restricted diet, oral hyperglycemic agent and restricted diet and 10 managed by restricted diet only usually on a given average you’re looking somewhere around the 10 to 40 range for most vets hopefully you don’t hit the 60 or the 100.
sometimes we presume that these people generally are more susceptible to get diabetes, as a condition medical condition but like us but the truth is that you know everybody even like a skinnier person can get diabete, so like right now we’re going to talk about obesity.
as an intermediary step as a general matter obesity is not actually a disability, because type 2 diabetes and obesity are actually linked, if you have obesity you are more prone to develop type 2 diabetes.
Many veterans experience this for multiple reasons whether they have different service connected conditions that preclude exercise or they are on certain medications that cause weight gain, for example you have a service-connected knee condition that prevents you from being able to move around a lot, as a result you become obese and as a result of obesity you develop type 2 diabetes.
As long as the knee condition is service connected diabetes can be service connecte, as well as a secondary so it gets a little harder to tie the knots and show the show how they’re connected, but it is true and you can get them connected, it just gets a little harder secondary conditions due to the chronic nature of type 2 diabetes, complications can develop that may warrant separate disability ratings for secondary conditions.
secondary conditions stemming from the type 2 diabetes must be at least likely as not or 51 caused or aggravated by diabetes in order for a veteran to be compensated for them to be rated separately, for a secondary condition or complications the condition must not have been considered, in your initial rating decision lower some secondary conditions that can emerge when type 2 diabetes progresses or is uncontrolled, very common one is the diabetic peripheral neuropathy, that’s the nerve damage in your hands and your toes you get the little tingles and the lightning bolts renal kidney dysfunction a big one diabetic retinopath, you could certainly go blind from it you know you could lose vision.
so cataracts things like that erectile dysfunction especially with the associated medications that come with it cardiac conditions such as coronary artery diseas, heart attack, stroke and arteriosclerosis.
which is hardening of the arteries another real common one is hypertension the high blood pressure peripheral vascular disease, which is narrowing the blood vessels certain skin conditions, eye conditions other than the diabetic retinopathy such as cataracts yeah and the general candida like in general rule to apply for service connection for one of these secondary conditions.
diabetes type 2 and the secondary condition and importantly the secondary condition must be at least as likely as not caused or aggravated by the veterans, type 2 diabetes is like a very common thing is to have secondary conditions from diabetes.
coronary artery disease in this chronic disease arterial sclerosis, narrows the the coronary arterie, the arteries supplying blood to the heart muscle as the coronary arter, is narrow the chest pain called an angina may be triggered and the risk of a heart attack, the myocardial infraction which occurs when a coronary artery is blocked completely is increased.
coronary artery disease currently affects 11 million people in the united states, so when it comes to heart disease during active infection with valvular heart damage and for three months following sensation of therapy for the active infection, it will be rated at a 100% after with documented by findings on the physical examination and either an echocardiogram doppler acrocardiogram or cardiac catheterization resulting in chronic congestive heart failure or a workload of three mets or less that result in dyspincia fatigue angina dizziness or oscilloscope or left ventricular dysfunction with an ejection fraction of 30 to 50 % will be rated at 60 % and so the mets are really just how fast do you get tired and want to fall over basically workloads of greater than five mets but not greater than seven mets result in dispensing fatigue angina dizziness oscilloscope or evidence of cardiac hypertrophy or dilation on an electrocardiogram or an echocardiogram or x-ray and that will be rated at 30% workload of greater than seven mets but not not greater than 10 mets results in dispensing fatigue angina dizziness or cinescope or continuous medication required 10%.
so these conditions are very similar in the way they are rated they fall under the diagnostic code 7001 endo card cardis endocardis very similar to the heart conditions the way it’s rated and and with the mets 7002 is the pericardas and rated very similar to the chronic heart failure.
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